MEDICARE: PAOLA ANDREA ROMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1093694689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAOLA ANDREA ROMAN

Provider Business Mailing Address
First Line	:	1380 LOCHBREEZE WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-8711
Country	:	US
Telephone Number	:	973-641-5980
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 LOCHBREEZE WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-8711
Country	:	US
Telephone Number	:	973-641-5980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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Directions to “ PAOLA ANDREA ROMAN ” Practice Location

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